Can-AP: Informing a system level model for advanced practice implementation in radiation therapy through global...

Area of Science:

• Oncology
• Health Services Research
• Radiation Therapy

Background:

• Global implementation of advanced practice radiation therapy (APRT) varies across jurisdictions.
• Key system-level elements include practice framework, regulatory structure, education, certification, and role implementation.

Purpose of the Study:

• To gain insight into the implementation status of APRT across different countries.
• To identify commonalities and challenges in establishing APRT.

Main Methods:

• A key informant survey was conducted with six national academic APRT leaders.
• The survey assessed progress and order of implementation for five key elements using Likert scales and ranking items.
• Open-ended questions provided additional qualitative insights.

Main Results:

• Practice frameworks were the most advanced element (66.7% well underway), while regulatory structures were least advanced.
• Singapore was perceived as furthest along, France least advanced.
• Element interreliability was a noted challenge; therapist-led committees and existing frameworks from other countries were valuable resources.

Conclusions:

• APRT integration shows commonalities and unique aspects across jurisdictions.
• A proposed 'Can-AP' model aims to integrate elements for clarity, acceptance, credibility, competence, and viability.
• The model seeks to establish common implementation and reporting standards for global APRT and other advanced health professions.